Prevention of Excessive Gestational Weight Gain and Postpartum Weight Retention

Nicodemus, Nemencio A.

doi:10.1007/s13679-018-0312-0

Cited by 15 publications

(19 citation statements)

References 45 publications

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“…Adequacy of GWG in diff erent groups according to their pre prgnancy BMI classifi cation (Above, within and below the recommended GWG range) conclusive pregnancy interventions for preventing GWG (17). After that, studies showed the effectiveness of exercise and diet interventions alone and in combination for preventing GWG (18,19,20). Our results showed similar findings, as both the exercise group and the diet group were effective in preventing excess GWG in pregnant Indian women.…”

Section: Discussionsupporting

confidence: 75%

“…D i HE grupa su imale najviše ispitanica koje su imale GTR u okviru preporučenog opsega, dok su grupe SE i SED imale najviše ispitanica sa GTR-om ispod preporučenog opsega. Ipak, ovi rezultati nisu uticali na telesnu težinu novorođenčeta ni u jednoj grupi (18,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)9 kg/m2), pri čemu je D grupa imala najefektnije održavanje GT sa 15%, 55% i 30% žena koje dobijaju na težini, ne dobijaju i gube na težini, respektivno. U SE i SED grupama najviše žena je imalo najnižu stopu održavanja telesne težine 2 meseca nakon porođaja, a zatim u grupama HM, D i C; tj., rezultati pokazuju očekivani trend kliničke promene iako razlike nisu bile statističke značajne (p=0,12).…”

Section: Sažetakunclassified

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Effect of Behavioural Interventions for Obesity Prevention in Pregnancy on the Adequacy of Gestational Weight Gain and Retention: Metabolic Health of Indian Women

Pawalia

Kulandaivelan

Savant³

et al. 2020

Serbian Journal of Experimental and Clinical Research

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The aim of this study was to measure the adequacy of gestational weight gain (GWG) in Indian women using various behavioural interventions during pregnancy, which primarily aim to observe the effects on obesity markers and weight retention. In this experimental study, one hundred and forty pregnant women underwent interventions in 5 groups, control (C), diet (D), home exercise (HE), supervised exercise (SE) and supervised exercise with diet (SED), from pregnancy through delivery with 2 months follow-up post-delivery. The outcome measures were GWG and baby birth weight. A one-way ANOVA indicated no differences in the mean GWG between groups (12.39±4.71 kg, p=0.947). The control group had the most (50%) and both the supervised exercise groups had the fewest (32%) women who gained above the recommended GWG, followed by the diet group (33.3%). The D and HE groups had the most women who gained within the GWG range, while both the SE and SED groups had the most women who gained below the GWG range. However, these results did not affect the birth weight between the groups (mean 2.96 kg±0.40, p=0.203). In women with normal BMIs, (18.5-22.9 kg/m2), the diet group had the most effective maintenance of adequate GWG, with 15%, 55%, and 30% of the women gaining above, within, and below the recommended GWG, respectively. The SE and SED groups had the least postpartum weight retention (PPWR) at 2 months, followed by the HM, D and C groups; i.e., the results showed a trend in the desired direction clinically, although they were not statistically significant (p=0.12). Supervised exercise can be effectively used as a pregnancy intervention to prevent excess GWG in Indian women. Diet counselling was found to be the next best intervention in combination with exercise, as well as for women with normal BMI.

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Section: Discussionsupporting

confidence: 75%

Section: Sažetakunclassified

Effect of Behavioural Interventions for Obesity Prevention in Pregnancy on the Adequacy of Gestational Weight Gain and Retention: Metabolic Health of Indian Women

Pawalia

Kulandaivelan

Savant³

et al. 2020

Serbian Journal of Experimental and Clinical Research

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“…[8][9][10][11][12][13] Studies have also shown that postpartum behavioural weight loss interventions after delivery can help women reduce postpartum weight retention (PPWR) and risk for future obesity. [14][15][16][17] Because adults face multiple demands on their time, remote delivery (i.e. phone) of behavioural counselling and integration of such counselling within the prenatal care setting where women receive usual care has the potential to enhance patient engagement and satisfaction and to promote dissemination.…”

Section: Introductionmentioning

confidence: 99%

“…Strong and increasing evidence supports behavioural interventions to limit GWG and improve health behaviours 8–13 . Studies have also shown that postpartum behavioural weight loss interventions after delivery can help women reduce postpartum weight retention (PPWR) and risk for future obesity 14–17 . Because adults face multiple demands on their time, remote delivery (i.e.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of a remotely‐delivered behavioural health coaching intervention to limit gestational weight gain

Coughlin

Martin

Henderson

et al. 2020

Obesity Science & Practice

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Introduction: Gestational weight gain (GWG) and postpartum weight retention (PPWR) are significant, potentially modifiable, contributors to women's future weight and health trajectories. There is a need for feasible and patient-centered (i.e., convenient, remotely-delivered, technology-enhanced, and accessible through the prenatal care setting) behavioural interventions that limit GWG and PPWR. This study tests the feasibility and acceptability of a remotely-delivered behavioural health coaching intervention to limit gestational weight gain and postpartum weight retention. Methods: Pregnant women (11-16 weeks gestation) were recruited from two prenatal clinics and randomized to the active intervention or health education comparison group. Completion of the program was monitored and perceived helpfulness was rated (0-100). Results: Twenty-six women were randomized (n = 13 per arm; mean age = 31.6 years, SD = 3.6; mean BMI = 26.7 kg/m 2 , SD = 7.4). Participants completed a median of 18 coaching calls and 16/19 learning activities during pregnancy, and a median of 6 calls and 5/6 learning activities postpartum. They logged weights at least once/week for a median of 36/38 expected weeks and tracked daily calories and exercise for a median of 154/266 days and 72/266 days, respectively. Median (Q1, Q3) helpfulness ratings of the program during pregnancy were 80 (64, 91) and 62 (50, 81) postpartum; helpfulness ratings of coaching calls were 85 (58, 98). At 37 weeks gestation, 77% of participants achieved IOM weight gain recommendations compared to 54% in the comparison group. Conclusions: This study provides evidence for the feasibility and acceptability of a remotely-delivered behavioural weight control intervention in pregnancy and postpartum.

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“…Recent studies have revealed strategies to prevent excessive gestational weight gain; these strategies include individualized nutrition program, focused and supervised prenatal exercise with proper intensity and duration measures, and goal-targeted behavior modifications. 10 11 These interventions reportedly work best to prevent excessive gestational weight gain when performed simultaneously and should be routinely discussed during prenatal visits. Weight gain in pregnancy is potentially modifiable, and therefore, may be leveraged to improve maternal outcomes.…”

Section: Commentmentioning

confidence: 99%

Impact of Excess Weight Gain on Risk of Postpartum Infection in Class III Obesity

Mitchell

Adkins

Tucker

et al. 2020

AJP Rep

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Objective To assess the impact of gestational weight gain >20 pounds (more than Institute of Medicine [IOM] recommendations) on postpartum infectious morbidity in women with class III obesity. Methods This is a retrospective cohort of term, nonanomalous singleton pregnancies with body mass index ≥40 at a single institution from 2013 to 2017. Pregnancies with multiple gestation, late entry to care, and missing weight gain data are excluded. Primary outcome is a composite of postpartum infection (endometritis, urinary tract, respiratory, and wound infection). Secondary outcomes include components of composite, wound complication, readmission, and blood transfusion. Bivariate statistics compared demographics, pregnancy complications, and delivery characteristics of women exceeding IOM guidelines (GT20) with those who did not (LT20). Regression models were used to estimate adjusted odds of outcomes. Results Of 374 women, 144 (39%) gained GT20 and 230 (62%) gained LT20. Primiparous, nonsmokers more likely gained GT20 (p < 0.05). No significant difference in other demographics. Among women who gained GT20, 10.4% had postpartum infectious morbidity compared with 3.0% in LT20 (p < 0.01). Wound infection is more common in the GT20 group (7.6 vs. 2%, p = 0.02). After adjustment, women who gained GT20 had threefold higher odds of postpartum infectious morbidity (adjusted odds ratio: 3.17, 95% confidence interval: 1.17, 8.60). Conclusion Women with class III obesity who gain more than the IOM recommends are at increased risk for postpartum infectious morbidity.

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Prevention of Excessive Gestational Weight Gain and Postpartum Weight Retention

Cited by 15 publications

References 45 publications

Effect of Behavioural Interventions for Obesity Prevention in Pregnancy on the Adequacy of Gestational Weight Gain and Retention: Metabolic Health of Indian Women

Effect of Behavioural Interventions for Obesity Prevention in Pregnancy on the Adequacy of Gestational Weight Gain and Retention: Metabolic Health of Indian Women

Feasibility and acceptability of a remotely‐delivered behavioural health coaching intervention to limit gestational weight gain

Impact of Excess Weight Gain on Risk of Postpartum Infection in Class III Obesity

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